Management of chronic parotitis: a review

Chronic parotitis is an insidious inflammatory disorder, which is characterized by a recurrent, often painful, swelling of the gland or glands. Sialography remains the investigation of choice. Diagnostic siladenoscopy may complement or supersede sialography as the diagnostic procedure of choice, as...

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Bibliographic Details
Published in:Journal of laryngology and otology 2003-07, Vol.117 (7), p.521-526
Main Authors: Motamed, M., Laugharne, D., Bradley, P. J.
Format: Article
Language:English
Subjects:
(RF) Otorhinolaryngology
Anti-Inflammatory Agents - administration & dosage
Atrophy
Biological and medical sciences
Chronic Disease
Endoscopy
Endoscopy - methods
Exocrine glands
Facial Paralysis - etiology
Gentian Violet - administration & dosage
Humans
Inflammatory diseases
Medical sciences
Non tumoral diseases
Otorhinolaryngology. Stomatology
Parasympathectomy - methods
Parotid Gland
Parotid Gland - surgery
Parotitis
Parotitis - diagnosis
Parotitis - surgery
Parotitis - therapy
Penicillin
Sialadenitis - diagnosis
Sialadenitis - surgery
Sialadenitis - therapy
Sialography
Sialography - methods
Surgery
Tympanic Membrane - surgery
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:Chronic parotitis is an insidious inflammatory disorder, which is characterized by a recurrent, often painful, swelling of the gland or glands. Sialography remains the investigation of choice. Diagnostic siladenoscopy may complement or supersede sialography as the diagnostic procedure of choice, as more experience is gained in this technique and its use becomes more widespread. The management options are conservative or surgical, but controversy exists regarding the timing and method of surgical intervention. The surgical methods that have been described include injection of methyl violet – a sclerosing agent, ductal ligation, ductoplasty, tympanic neurectomy, and parotidectomy. Parotidectomy is considered the ultimate surgical option but because of its significant morbidity the exact technique and procedure that should be used remains contentious.
ISSN:0022-2151
1748-5460
DOI:10.1258/002221503322112923